ICD-10 R13
Non-Billable HeaderAphagia and dysphagia
About ICD-10-CM R13
ICD-10-CM code R13 represents Aphagia and dysphagia. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R13). The 2026 edition of ICD-10-CM R13 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for R13
Local Coverage Determinations (LCDs) from CMS MACs that list R13 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R13.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R13 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R13
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 94750 Oximetry for respiratory symptoms Internal Medicine
Codes Adjacent To R13
Other codes in section R10-R19 (Symptoms and signs involving the digestive system and abdomen).
ICD-10 R13, Billing FAQ
Is ICD-10 code R13 billable? +
No, R13 is a non-billable header code. Use a more specific child code from block R13 when submitting claims.
What CPT codes are commonly billed with R13? +
Procedures frequently paired with R13 include: 94750.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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